Aquatic Therapy and Wellness P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-005319 Issued in IL

Legal business name

AQUATIC THERAPY AND WELLNESS P.C.

Practice address

105 S Van Buren St
East Dundee, IL 60118-2315

Phone

(708) 670-4216

Fax

(847) 428-7740

NPI assigned

Jun 3, 2009

Last updated

Jun 3, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Kelley C Hoyt, MSPTNPI 1619148673

Title

Owner/President

Phone

(847) 428-5116

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelley C Hoyt, MS PT

  • Physical Therapist
  • Crystal Lake, IL
  • NPI 1619148673
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1174759245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S VAN BUREN ST",
            "city": "EAST DUNDEE",
            "state": "IL",
            "postal_code": "601182315",
            "telephone_number": "708-670-4216",
            "fax_number": "847-428-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S VAN BUREN ST",
            "city": "EAST DUNDEE",
            "state": "IL",
            "postal_code": "601182315",
            "telephone_number": "708-670-4216",
            "fax_number": "847-428-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUATIC THERAPY AND WELLNESS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "HOYT",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "847-428-5116",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-005319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Farzeen Anwar, PA-C
• Ena Arroyo, RN
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• Kanahi Beathea, CNA
• Nikkia Jeanique Bell
• Kinjal Bhatt

• Physical Therapist in East Dundee, IL
• Providers in East Dundee, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.